Head and Neck Pathology
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Clinical Practice
- Traumatic ulcerative granuloma with stromal eosinophilia is a chronic traumatic ulcer that is caused by trauma to the tongue muscle. It can mimic malignancy.
- If treating infection inside the mouth, swish. If treating inflammation, hold it in the mouth and "soak" the area x 5 min TID, and decrease frequency as pt improves.
- There are three types of aphthous ulcers minor, major, and herpetiform. They are caused by allergy or immune dysfunction.
- HSV occurs on keratinized, bound-down mucosa, gingiva, or palate. Aphthous ulcers occur on movable skin. Patients usually have HSV on the gingiva OR palate, but uncommonly can have it in both locations.
- If a patient complains of bleeding, painful, burning gums, think of desquamative gingivitis. This needs a biopsy.